wound care in san diego

Acute and Chronic Wounds and Some Procedures for Healing

Wound care treatments depend on the severity of your wounds. Whether it’s a small scrape or an extreme cut, each one needs some attention and care to make way for proper healing. Otherwise, you can be at risk for infection.


Doctors check and assess a patient’s wound first before they determine the type of treatment that it needs. Usually, it would depend on the wound’s classification: acute or chronic. Here are their differences.


Acute vs. Chronic Wounds


Wound care classifies wounds as acute or chronic. While there’s no standard definition for the two, each one is easily distinguished. The easiest way to know is through its healing period.


Acute wounds have a short duration of healing. From getting the wound, it should go through the normal stages of healing: hemostasis, inflammation, proliferation, and remodeling. This wound often shows signs of healing in four weeks or less.


Chronic wounds, on the other hand, don’t go through a normal healing process. If it’s not showing all the signs of a normal healing process after four weeks, then it requires professional attention. Wounds often become chronic for a few possible reasons: inflammation due to infection, hypoxia, poor nutrition, and some others.


Common Wound Care and Treatment


As mentioned, wound care depends on the wound’s current state. To be familiar with the possible procedures for healing, here is a couple of the most common wound care treatments available.


Clean Surgical Wound Treatment – This is the first treatment you get right after your injury. Ideally, your wound requires treatment right away. However, in some cases, this procedure is doable within the first eight hours of injury.


Skin grafting – Often performed to close a wide-open wound. Other than that, it stops electrolyte and fluid loss and reduces the risk of infection. There are two types of skin graft: the full thickness and the split-thickness skin graft.


Possible Risks, Complications, and Their Treatment


Sometimes, despite best efforts, complications happen on the wound after treatment. To raise awareness, here are some of those complications or risks and how doctors will treat them.


Hematoma and Seroma – When coagulation fails, blood or serum collects itself. If this happens, the wound area can have pain, swelling, as well as drainage. If the complication becomes large and symptomatic, the wound will need exploring, draining, and packing.


Fascial dehiscence – This complication is an example in abdominal surgical incisions. It brings fascial disruption when tension occurs in the abdominal wall and causes to overcome tissue or suture strength. Early dehiscence (less than 14 days) often requires exploration and debridement and should prevent late dehiscence from occurring.


Self and Home Wound Care


Finally, wound care might depend on you. Keep in mind that your wound and its healing relies on how quickly you get treatment. After an injury, seek medical care as soon as possible.

Once you get initial treatment, follow your doctor’s orders for self or home care in order to make way for proper healing.


In the end, always remember that you should always turn to your doctors if you have any concerns about the care, treatment, and healing of your wound.



We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

spider vein removal orange county

Questions You Might Ask Yourself and Your Doctor before Spider Vein Removal

When it comes to medical procedures, it always helps to know what to prepare for or what to expect. If you’re looking for spider vein removal Orange County, the same principle applies. If you have spider veins and are thinking about getting treatment for it, you probably have some questions about your condition and the procedure you’re about to undergo.


For you to understand more about these things, let’s look into some of the questions that you might have in mind.


What Are Spider Veins?


Spider veins are tiny spider-like veins that commonly appear either on the face or legs. These are small dilated blood vessels located close to one’s epidermis (the outermost layer of the skin). Their appearance or color usually differ from one person to another. Usually, it’s red, purple, or blue.


Now, you might wonder if you should worry if you have them. Generally, it shouldn’t be a cause for concern. It usually isn’t a health hazard. However, it can cause a dull aching in the legs or become worse and develop into a more serious venous disease after prolonged standing periods.


What are my options for treatment?


While not everyone may be seeking spider vein removal Orange County, specialized treatment options are available. If you’re deciding to remove these veins or it has been medically advised by your doctor to undergo treatment, you can either choose laser/light therapy or sclerotherapy.


Sclerotherapy is a treatment option done by injection. With a solution, it directly inserts into the vein and then that causes it to scar and collapse. After that, the blood that caused the dilation reroutes towards healthier veins and eventually, the affected ones will fade and heal.


Laser/light therapy, on the other hand, is the non-invasive type of procedure that attacks the veins externally using light energy. This non-toxic spider vein removal procedure mainly destroys unwanted cells and veins.


How often do I need treatment?


Treatment plans are often varied and depend on the patient’s initial assessment. During your consultation, your doctor will establish the type of care that you need and how many follow-ups are required.


For you to have the best course of treatment, you need to look for a doctor that has more than enough experience in dealing with this type of condition. This way, you’ll know that he or she is someone you can trust.


Will my insurance cover it?


As a rule of thumb, cosmetic and experimental services are generally not covered by a standard HMO plan. Sometimes, other plans cover procedures like this based on medical necessity. So perhaps, the safest answer is, it would depend on either your condition or insurance plan.


Since spider vein removal procedures are often ruled out as a cosmetic procedure, it’s possible that you have to cover the costs out of pocket. However, to be sure, you can ask your insurance provider or doctor for clarity.


The bottom line is, you can always turn to your doctors if you have any concerns before, during, and after the procedure. This way, you’ll know what to prepare for during the course of your spider vein removal Orange County treatment.



We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

diabetic wound care

Diabetes Can Be Causing Your Wounds to Heal Slower

Chronic wounds are something that many diabetic patients must learn to live with. Good thing there are diabetic wound care options that can help improve their quality of life.


Without them, wound healing would not only take longer to heal but could also lead to infections and complications. But why are cuts and wounds slow to heal in diabetic patients?


In some cases, slow healing cuts and wounds is a sign of an underlying disease like diabetes. It’s a symptom you must keep an eye on and you’ll know why in a little bit.


How Wounds Heal 

  1. The immune system responds to cuts and wounds, causing them to become inflamed. This is one way of preventing infections.
  2. New cells form over the wound in the form of a scab. This indicates that healing is on the way.
  3. Scar tissue forms over the cut or wound. This effectively seals the cut and heals the wound.


For most healthy people, the three-stage process happens in a matter of days or weeks, depending on the gravity of the wound. For those in a poor state of health or has diabetes, wound healing will take longer.


Why is a wound slow to heal?


As previously mentioned underlying diseases can cause the healing process to slow down. Certain deficiencies will also have similar results.


Individuals with diabetes mellitus, rheumatoid arthritis, and vascular or arterial diseases are highly likely to suffer from a chronic wound. Diabetic patients are sure to require the best diabetic wound care available.


Individuals with low human growth hormone (HGH) and zinc will also experience slow wound healing.


What causes slow wound healing in diabetes patients?


Blood needed for skin repair must reach sores or wounds in order for them to heal faster. Poor blood circulation, however, can occur in patients with diabetes. This is due to their high levels of blood glucose that have an adverse effect on the nerves.


Because the blood can no longer reach affected areas of the body, wounds can remain open and unhealed for months. This can lead to gangrene, fungal infections, and bacterial infections.


If the cuts and wounds occur on the feet, immediate diabetic wound care must be administered. This is because even a graze can increase the risk of amputation if not treated properly.


One solution to reduce the risk of slow healing of wounds is to keep blood glucose levels under control.


Slow wound healing as a symptom of a disease


If you are not diagnosed with diabetes but your cuts and wounds take longer to heal, it is recommended that you have yourself checked, particularly your blood glucose levels.


As previously mentioned, this could be a symptom of underlying diseases. It is best to get a proper diagnosis so you will know if diabetic wound care is the best approach to dealing with your wounds.


Make sure to consult a healthcare professional if a cut or burn takes a long time to heal or shows signs of infection. This is especially crucial if the cut is on your feet. You don’t want to lose your feet, do you?



We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

varicose veins and some treatment options

Varicose Veins: Why They Occur and What You Can Do About Them

Do you have unsightly veins showing on your legs? Does it cause pain when you stand for too long?


You’re not alone. Statistics indicate that 20-25 million Americans suffer from varicose veins. In order to receive proper treatment or get varicose vein removal, it is important to have a good understanding of its various forms and causes.


How do veins work?

The human vascular system is made up of millions of blood vessels. We have three types of blood vessels. There’s the artery, responsible for carrying oxygen-rich blood into the heart. The capillary enables the actual exchange of water and chemicals between the blood and the tissues; and finally, there’s the vein carries oxygen-poor blood from the capillaries back toward the heart.


Veins are arranged in a specific way to support blood flow to the heart and other organs. The deep veins run vertically within the muscles. Meanwhile, the superficial veins are a network of a thousand blood vessels. When the veins have trouble pumping blood, it begins to pool and leads to the appearance of varicose veins.


Varicose veins’ causes and symptoms

There are several known causes for spider and varicose veins:

  • As people get older, there’s a significant decrease in the body’s ability to produce collagen. As such, small venous problems can transform into larger ones. They swell and bulge, ultimately becoming more visible.
  • Vein disorders tend to run in families. If your parents or grandparents have DVT, then you are more predisposed to having them yourself and will perhaps require varicose vein removal at some point.
  • Lack of movement in the joints and limbs can contribute to having vein problems too. Standing for particularly long periods of time hinders leg muscles from pumping blood properly and may cause the entire process to slow down entirely.


Vein disease can range from cosmetic annoyances to a condition that’s more life-threatening. The presence of varicose veins can make the skin feel tight and itchy. In severe cases, an affected individual will experience cramping and pain in the affected area. If you think you have vein problems, it is important to see a board certified vein care specialist so your condition can be properly evaluated and the right treatment options can be recommended.


Treatment options

Advancements in the field of varicose vein removal means that there are more treatment options out there than ever before. There are some that don’t require any surgery at all so a patient with vein problems won’t have a much shorter recovery period.


Here’s a closer look at what these types of options are:

  • Spider Vein Laser Treatment. Typically used on unwanted facial spider veins. A beam of light penetrates the skin and destroys these superficial vessels. The procedure is safe, painless, and highly effective, providing remarkable results with minimal risks.
  • This procedure is often done for cosmetic purposes to eliminate the unsightly appearance of spider veins. Innovations made in this treatment have now made it possible to get rid of larger veins as well.
  • VNUS closure. This targets enlarged varicose veins by using radiofrequency energy to heat and shrink the vein, reducing its appearance and promoting blood flow to other, healthier veins.
  • Endovenous Laser Ablation. This laser treatment is used for varicose vein removal in more severe cases. A laser fiber enters the vein from a tiny incision, applies laser energy, and treats the vein from within.


Use the information above to determine your symptoms, but more importantly, seek proper medical attention. Pain may not be present right now but remember, it can be an indicator of a more serious vein condition. So it’s best to have yourself checked at the earliest appearance of varicose veins.


We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

wound care san diego

Caring For Chronic Wounds



Chronic wounds require proper attention and treatment, so patients should be aware of all possible options. Professional wound care is an important alternative that you must consider to treat chronic wounds.


Chronic wounds include, but are not limited to, diabetic foot ulcers, pressure ulcers, and venous leg ulcers. These wounds are all very different and it can be difficult for a lot of professionals to choose the best treatment. They consume a huge deal of healthcare resources worldwide.


Wound Healing


The physiological wound healing process consists of 4 temporary and overlapping phases called hemostasis, inflammation, proliferation, and remodeling.


Pathophysiology of Chronic Wounds


Chronic wounds are considered chronic because they fail to follow the normal phases of healing in an orderly and timely fashion. In fact, most chronic wounds stall at the inflammation phase of healing. Chronic wounds often share the same features even if they have big differences in etiology at the molecular level.


Chronic Wound Care


When it comes to wound care, a number of things must be considered. Take note that chronic wound care is a complex process, so there are many steps to take. Here is an example of an average wound healing regimen that you might be interested in.


Confirmation and documentation


You need to verify the status of injury when you engage in chronic wound care. You have to determine the cause and the persistence of the wound you are concerned about. Remember that wounds are not considered chronic unless they persist for at least 6 weeks.


There are a few other warning signs to look for to determine if you have a chronic wound. These would include pus and drainage, redness, swelling, pain, constant itching, and fever.


Preparing the wound site


After determining and understanding the basics of the particular wound, the next thing to do is to focus on preparing the wound site. The preparation involves getting rid of potential hindrances to the effective healing of the wound.


Understanding the wound is part of wound care. This involves knowing the accompanying level of pain, color and amount of exudate or debris, and the presence of tracts.


After you have a comprehensive understanding of the wound, you must make sure it is clean. This includes the sterilization of the wound and prevention of microbe infiltration. It is then important to make sure there is an appropriate level of moisture in and around the particular wound area.


Picking of Proper Dressing


Remember that each wound type can be different, even if they show many of the same symptoms. Each require their own type of dressing. Likewise, it can be difficult to know the method that you should use.


If the wound needs more moisture, then it must be applied with hydrogel dressing. If the skin is sensitive around the wound, a non-adherent dressing is needed for the prevention of painful tearing. If the wound has a lot of depth to it, you can fill it with an alginate dressing. You should use enough to cover the size of the cavity.


Wound care is more than just managing your wound, because it requires proper attention and medical expertise. It is essential that you follow the advice of your physician so that chronic wound conditions will be effectively treated and cured.


We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

varicose vein removal orange county

Possible Treatments For Varicose Veins

Are you one of the people that suffer from varicose veins? Well, you be in luck because there are many possible treatments. Some of these treatments have just recently become widely known. Varicose vein removal is one of the options that you can consider for your conditions.


Many people with varicose veins only use compression stockings to provide relief. However, if this is not enough to relieve your symptoms, then you can resort to surgical removal. Smaller varicose veins can be removed using a technique called sclerotherapy.


Surgical Treatments


There are common ways to remove varicose veins surgically. In fact, there are a number of different methods to surgically remove varicose veins. Some worry about the safety of these surgeries, but the blood supply in your legs will not be harmed with varicose vein surgery. This is because the blood will be redirected into the other healthy veins in your body. Deep and superficial surgeries can be done to treat varicose veins and relieve the symptoms.


  • Vein Stripping – this method will allow the whole vein to be pulled out by way of incision close to the groin. A couple of cuts have to be made below the groin and behind the knee joint. In some cases the cut can also be made at the ankle.
  • Phlebectomy – when you have varicose veins, you can undergo this type of surgery, which involves very small incisions or cuts just millimeters along the affected vein.


Alternative treatments are also available, such as radiofrequency ablation, endovenous laser ablation, and transilluminated powered phlebectomy or Trivex. However, these more recent treatment methods may also have side effects, such as scarring and bruising. Complications such as infections or nerve damage are less common in these newer treatments than conventional surgery though.




Another varicose vein removal method is sclerotherapy. This includes the injecting of foam or liquid into the affected vein. The substance injected will damage the vein walls and will close it off. This method is generally used for treatment of small or medium-sized superficial varicose veins.


This procedure is very effective for treating varicose veins. In some cases, you may even find very small difference in the results between vein stripping and sclerotherapy.


Among the side effects of this procedure is the development of vein inflammation or phlebitis. Among 100 people that were tested, 10 of them developed this side effect. It was also found out that the skin where the injection was made could become slightly discolored.


Nevertheless, side effects like bruising or nerve damage is less common with sclerotherapy in comparison to vein surgery. Another advantage is that people can go back to their usual activities much sooner after undergoing sclerotherapy.


There is potential for future methods including the use of laser devices to be used to close off varicose veins. These methods would not make incisions in the skin. However, not enough research has been done to fully support this technique and we have not been able to determine how well the treatment would relieve the symptoms.


Varicose vein removal Orange County can treat the symptoms so that you can enjoy your life more. Find out how you can make a difference today!

We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

spider vein removal orange county

Treatment and Management for Spider Veins

To this day, spider veins are a common occurrence for many people. It has affected a majority of the population, so much so, that spider vein removal services are not hard to find. In Orange County or in any parts of California, there are already quite a number of facilities that offer spider vein removal.


San Diego Vascular Center has top notch and world-class facilities that assure patients experience quality services for treatments such as spider vein removal. Before going through spider vein removal in Orange County, San Diego, or wherever you prefer, it’s important to know more about these conditions, its possible treatments, and management.


What are Spider Veins?


Generally, spider veins aren’t as serious when compared to varicose veins. However, it could be an indication of some other vascular health issues. To further understand this matter, it’s important to understand more about how your veins work inside your body.


Spider veins usually occur in one’s legs, feet, and/or possibly the face. These spider veins are formed when superficial veins closer to the skin leak out tiny amounts of blood. It causes discoloration in those veins which can easily be seen with the naked eye.


Since these are quite common occurrences, there are quite a lot of products dedicated to addressing spider vein issues. Some brands produce creams, concealers, and serum that contain vitamin K that is said to promote blood clotting and reduce leakage and prevent the occurrence of spider veins.


One thing about these topical treatments is that they don’t often promise lasting results. In fact, a lot of physicians don’t always recommend this as a permanent solution to treating and managing spider veins. Oftentimes, products like these are only recommended as an adjunctive therapy to a more permanent course of treatment for this condition.


Spider Vein Treatment and Management


There are procedures dedicated solely to the treatment of spider veins. Although these veins are generally harmless, they can be a source of burning and pain, especially when a person has been standing for long periods of time. For individuals who are concerned about their spider veins, there are quite a few treatment options that they can choose from.


Sclerotherapy – This procedure doesn’t need anesthesia and could easily be performed in your doctor’s office. The doctor will inject each vein with a solution that closes the veins. This way, the blood will reroute themselves through healthier veins. Oftentimes, these veins fade out in a few weeks but sometimes doctors will require the vein to be injected more than once.


Laser Surgery – This procedure won’t require large incisions or injections. Using strong bursts of light, laser surgery will make the affected veins slowly disappear. However, it should be known that laser surgery is less effective than that of sclerotherapy. This is especially true when treating larger veins through this procedure.


After treatment, some doctors may prescribe some add-on therapy for spider vein management. These are certain things patients can do on their own. It is unlikely, but if a patient is experiencing a side effect that is of concern after treatment, it’s best to consult your doctor for further treatment or other pain management options.



We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

chronic wound care san diego

Some Common Post-Operative Complications

Chronic Wound Care Services in San Diego are very accessible. For patients who are seeking chronic wound care, San Diego Vascular Center is one of the top facilities in the region that can provide the best possible services within the city.


About Chronic Wounds


Research shows that millions of people in America need chronic wound care. These are wounds that tend not to heal after four weeks and more. These cases are commonly linked to diseases like diabetes. These patients often suffer from foot ulcers, pressure ulcers, and venous leg ulcers.


People who are suffering from chronic wounds may need surgery and therapy. If not attended to, chronic wounds can take a turn for the worse and develop serious complications. Some cases may even require amputation.


Through surgery and sound medical therapy, medical professionals are more than capable to address the infection, avoid the situation from worsening, and save the limb or body part from amputation. Patients should know and understand the severity of their chronic wound and be ready for the challenges and take the steps needed to heal the wound.


Whenever doctors or medical professionals recommend patients to go through surgery as a course of treatment, it’s important to be prepared. You should know the possible outcomes and complications that may possibly arise post-surgery.


Common Post-Operative Complications


Surgeons will always advise their patients about the possible outcomes after a surgical procedure. This prepares the patient before he or she agrees to have the surgery performed. Among the possible outcomes that may arise are postoperative complications.


Postoperative complications are divided into two categories: general and specific. Among the common ones include atelectasis, postoperative fever, wound infection, and embolism. Those cases with postoperative complications often see them between one to three days after the surgery.


Specific complications, on the other hand, can usually be more extensive. They often occur in distinct transitory patterns. It could occur early postoperative, throughout the entire postoperative period, several days post-op, or in the later parts of the postoperative period.


Immediate, early, and late post-op complications


There are also common complications post-surgery that are immediate. A patient can encounter primary and reactionary hemorrhages either during surgery or following postoperative due to an increase in blood pressure.


Minor lung collapse or basic atelectasis, blood loss from shock, primary embolism, and low urine output are also immediate postoperative complications that can happen to a patient depending on the nature of the surgery.


The most common early post-op complication is pain. Although pain is normal once a patient comes out of surgery, recurring and extreme pain may require your doctor’s attention. Postoperative fever is also quite common as well as secondary hemorrhages that are a result of an infection. Pneumonia, anastomosis dehiscence, UTI and postoperative wound infection is also possible.


Possible late postoperative complications include pertinent sinus, incisional hernia, bowel obstruction, keloid formation, and even recurrence of a disease.


Wound Infection as a postoperative complication


As mentioned, postoperative wound infections are a common complication post-surgery. While wounds can usually be addressed, there are also chronic wounds or life-threatening wounds that may occur such as gas gangrene.


If you’re about to go through an operation, always remember to consult your doctor of the possibilities that may occur post-surgery. If anything does bother you, always seek their professional assistance.


We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

varicose vein removal

Treatments in Varicose Vein Removal

Although not dangerous, many would find varicose veins rather unsightly. Standing for too long counts as one of many reasons it develops, but factors such as age, family history, pregnancy, and obesity also put you at risk. Given some of the risk factors, there is no surefire way of preventing varicose veins from forming. While there are ways to prevent them from getting worse, those who already suffer from them can turn to different varicose vein removal methods.


Treatment options


A lot of progress has been made in the realm of treating varicose veins. Treatments in the past were painful procedures, but modern technology has introduced new and painless methods in removing varicose veins.


Instead of listening to blood flow using a Doppler device, duplex ultrasounds – which takes a two-dimensional photo – are now used to examine the leg’s circulatory system. By knowing the exact vein affected helps determine the kind of treatment to use.


Varicose veins are blood vessels, but they are superficial; the real working veins lie deeper. As such, the surface veins can be removed without affecting leg circulation.


In the past, treatment involved inserting a metal rod into the vein through an incision made at the groin. The rod was passed through and capped at the other end. The surface vein was stripped by pulling back the rod through the leg and out through the incision. The low-lying veins then take over once the “gnarly” ones have been taken out.


The stripping method of the past isn’t performed anymore. Today, the affected vein can be heated by radio waves, causing the collagen to collapse. Although the procedure still requires inserting a thin catheter into the vein, it is made painless with the injection of a mixture of anesthesia and fluid. Bruising might occur and it might take eight weeks for the vein to re-absorb.


Another varicose vein removal method is through the use of lasers, which sends concentrated light which collapses the affected vein. The procedure does cause a bit of discomfort when the laser touches the skin, but it is quickly cooled off.


Sclerotherapy is another technique used to treat varicose veins. The method involves using an agent that is agitated with air to form a foam that is injected into the affected vein. The walls of the vein then swells, blocking off the problematic vein and allowing the deep-lying venous system to take over.


Preventing existing varicose veins from getting worse


Some of the risk factors for developing varicose veins are hard to avoid. However, there are ways to prevent existing varicose veins from getting worse. These include:


  • Avoiding periods of prolonged sitting and standing. Doing so makes it difficult for blood to travel in leg veins causing pressure in veins to rise. Moving around helps reduce pressure and improve blood circulation.


  • Wearing compression hosiery. This keeps vein valves in the right position so they can function properly. Choose a compression level based on how damaged your veins are.


  • Living a healthy lifestyle. Your best bet against the varicose veins risk factors you can’t control is to make healthy lifestyle choices. Eating healthy, drinking lots of water, and exercising regularly are powerful allies in preventing more damage to veins.


Varicose veins may not be dangerous, but some may not like the sight of ugly veins on their legs. The good news is that there are different varicose vein removal methods that can be done to remove such an unsightly presence.

We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.

chronic wound care san diego

6 Things to Be Aware of with Chronic Wounds

According to an article published in the US National Library of Medicine National Institutes of Health, wound care is a worldwide problem that costs multi-billion dollars. In the U.S. alone, it has an annual cost of $20 billion and affects 5.7 million people.


This underlines the importance of chronic wound care San Diego clinic has to offer. Time to find the wound care center near you.


There are also some things you need to be aware of about chronic wounds in order to identify the right treatment.


It doesn’t go through the typical phases of healing.

Wounds normally heal in 4 main phases – Hemostasis Phase, Defensive/Inflammatory Phase, Proliferative Phase, and Maturation Phase.


Chronic wounds are usually stuck in the first 2 phases. They don’t stop bleeding completely or long enough for the blood clotting system to work, and they don’t coagulate to remove debris and prevent bacterial growth.


It can be caused by an antibiotic-resistant bacteria.

A strain of bacteria called Pseudomonas aeruginosa is found in many chronic wounds. Because it has a strong resistance to standard antibiotics, taking medication may not be the best treatment option.


People with compromised immune systems are generally affected by serious P. aeruginosa infections. The bacteria will also affect hospital patients with wounds that were not properly sanitized.


Diabetes is a likely culprit.

People with diabetes have impaired circulation and glucose-heavy blood, both of which keep wound from healing quickly and promote bacterial infection.


The neuropathic loss of feeling that some diabetic patients experience prevents them from feeling the soreness and warmth of a wound, indicating an infection.


Inadequate nutrition prevents wounds from healing.

Protein is needed to promote new cell and tissue growth. If a patient rarely eats protein-rich food, they lack the nutrients that can hasten healing of chronic wounds. The situation is even worse if a patient eats more fat than protein. Fats can impair your immune system’s response, resulting in delays of wound healing.


Proper cleaning can promote healing.

Chronic wound care specifies that a wound must be completely cleaned before it is dressed. Therefore, it is important to ensure that any debris is removed before wound dressing is applied to prevent bacterial infection and to promote proper healing.


Irrigating the wound thoroughly using a saline solution is an effective way to prevent contamination and ensure the wound would heal without delay.


Early Detection of Signs of Infection Is Key

Chronic wounds have certain characteristics that indicate the need to visit a chronic wound care San Diego center.


A wound can become chronic if:

  • It takes a long time to heal, increasing the risk of developing infections.
  • It spontaneously bleeds despite efforts to dress it.
  • It exudes odorous drainage that doesn’t usually happen to less-worrisome cuts.
  • The size of the wound appears to increase instead of decrease, which is indicative of healing.


Because untreated wound infections can complicate into conditions that may require hospitalization, such as sepsis, necrosis, and cellulitis, it is highly recommended to visit a chronic wound care San Diego clinic at the first indication of wound infection.


Some wounds just need a doctor’s expertise and possible surgical debridement and systemic antibiotic therapy.


We specialize in diagnosis and treatment for any and all vascular health issues for patients in San Diego County, Orange County and Riverside County. For more information or to set an appointment, please contact us.